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2421. Applying trigger tools to detect adverse events associated with outpatient surgery. | PSNet
      psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery
      November 10, 2015 - Study Applying trigger tools to detect adverse events associated with outpatient surgery. Citation Text: Rosen AK, Mull HJ, Kaafarani HMA, et al. Applying trigger tools to detect adverse events associated with outpatient surgery. J Patient Saf. 2011;7(1):45-59. doi:10.1097/PTS.0b013e3182…

2422. Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on Patient Safety Culture Comparative Database.'' | PSNet
      psnet.ahrq.gov/issue/agency-information-collection-activities-proposed-collection-comment-request-hospital-survey
      December 21, 2022 - Press Release/Announcement Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on Patient Safety Culture Comparative Database.'' Citation Text: Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on…

2423. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. | PSNet
      psnet.ahrq.gov/issue/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues
      January 06, 2017 - Commentary The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Citation Text: Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50. Copy Citation …

2424. Findings from the ISMP Medication Safety Self-Assessment for hospitals. | PSNet
      psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-assessment-hospitals
      September 26, 2017 - Study Findings from the ISMP Medication Safety Self-Assessment for hospitals. Citation Text: Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597. Copy Citation Format: …

2425. The opioid epidemic: what can surgeons do about it? | PSNet
      psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
      March 27, 2019 - Commentary The opioid epidemic: what can surgeons do about it? Citation Text: The opioid epidemic: what can surgeons do about it? Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18. Copy Citation Save Save to your library Print Dow…

2426. How to prevent the top 4 medication errors. | PSNet
      psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors
      May 20, 2020 - Newspaper/Magazine Article How to prevent the top 4 medication errors. Citation Text: How to prevent the top 4 medication errors. Sederstrom J. Drug Topics. September 17, 2018. Copy Citation Save Save to your library Print Download PDF Share …

2427. Financial incentives and mortality: taking pay for performance a step too far. | PSNet
      psnet.ahrq.gov/issue/financial-incentives-and-mortality-taking-pay-performance-step-too-far
      December 21, 2017 - Commentary Financial incentives and mortality: taking pay for performance a step too far. Citation Text: Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835. Copy …

2428. The new CMS hospital quality star ratings: the stars are not aligned. | PSNet
      psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-are-not-aligned
      May 26, 2021 - Commentary The new CMS hospital quality star ratings: the stars are not aligned. Citation Text: Bilimoria KY, Barnard C. The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned. JAMA. 2016;316(17):1761-1762. doi:10.1001/jama.2016.13679. Copy Citation Format: DO…

2429. Did hospital engagement networks actually improve care? | PSNet
      psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
      July 18, 2016 - Commentary Did hospital engagement networks actually improve care? Citation Text: Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med. 2014;371(8):691-693. doi:10.1056/NEJMp1405800. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

2430. Five strategies for clinicians to advance diagnostic excellence. | PSNet
      psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence
      June 22, 2022 - Commentary Five strategies for clinicians to advance diagnostic excellence. Citation Text: Singh H, Connor DM, Dhaliwal G. Five strategies for clinicians to advance diagnostic excellence. BMJ. 2022;376:e068044. doi:10.1136/bmj-2021-068044. Copy Citation Format: DOI Google S…

2431. Quality and safety in medical care: what does the future hold? | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-medical-care-what-does-future-hold
      September 18, 2019 - Commentary Quality and safety in medical care: what does the future hold? Citation Text: Liang BA, Mackey T. Quality and safety in medical care: what does the future hold? Arch Pathol Lab Med. 2011;135(11):1425-31. doi:10.5858/arpa.2011-0154-OA. Copy Citation Format: DOI Go…

2432. Medication errors in the management of anaphylaxis in a pediatric emergency department. | PSNet
      psnet.ahrq.gov/issue/medication-errors-management-anaphylaxis-pediatric-emergency-department
      April 24, 2018 - Study Medication errors in the management of anaphylaxis in a pediatric emergency department. Citation Text: Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jem…

2433. Safety analysis over time: seven major changes to adverse event investigation. | PSNet
      psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
      September 24, 2018 - Commentary Safety analysis over time: seven major changes to adverse event investigation. Citation Text: Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…

2434. Making the business case for quality and safety. | PSNet
      psnet.ahrq.gov/issue/making-business-case-quality-and-safety
      January 19, 2022 - Commentary Making the business case for quality and safety. Citation Text: Shah RK, Reinhart R, Cronin J. Making the business case for quality and safety. Otolaryngol Clin North Am. 2022;55(1):105-113. doi:10.1016/j.otc.2021.07.008. Copy Citation Format: DOI Google Scholar …

2435. Creating a web-based incident analysis and communication system. | PSNet
      psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system
      May 01, 2003 - Study Creating a web-based incident analysis and communication system. Citation Text: Marsal S, Heffner JE. Creating a web-based incident analysis and communication system. J Hosp Med. 2012;7(2):142-7. doi:10.1002/jhm.956. Copy Citation Format: DOI Google Scholar PubMed B…

2436. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. | PSNet
      psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
      June 22, 2011 - Commentary Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Citation Text: Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …

2437. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. | PSNet
      psnet.ahrq.gov/issue/physician-health-and-wellbeing-provide-challenges-patient-safety-and-outcome-quality-across
      October 14, 2015 - Study Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Citation Text: Williams BW, Flanders P. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Australas Psychiatry…

2438. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. | PSNet
      psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
      May 06, 2009 - Study A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Citation Text: Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…

2439. An innovative collaborative model of care for undiagnosed complex medical conditions. | PSNet
      psnet.ahrq.gov/issue/innovative-collaborative-model-care-undiagnosed-complex-medical-conditions
      November 21, 2021 - Commentary An innovative collaborative model of care for undiagnosed complex medical conditions. Citation Text: Nageswaran S, Donoghue N, Mitchell A, et al. An Innovative Collaborative Model of Care for Undiagnosed Complex Medical Conditions. Pediatrics. 2017;139(5):e20163373. doi:10.154…

2440. JCAHO views medication reconciliation as adverse-event prevention. | PSNet
      psnet.ahrq.gov/issue/jcaho-views-medication-reconciliation-adverse-event-prevention
      March 06, 2013 - Newspaper/Magazine Article JCAHO views medication reconciliation as adverse-event prevention. Citation Text: Thompson CA. JCAHO views medication reconciliation as adverse-event prevention. American journal of health-system pharmacy : AJHP : official journal of the American Society of H…